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LL Signature Required
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ALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: Permit Number.
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Building Permit Application
Planning and Development Services
Building and Code Regulation Division
2300 Virginla Avenue, Fort Pierce Ft 34582 x Residential _
Phone; (772) 462-1553 Fax: (772) 462-7.578 Commercial
PERMIT APPLICATION FOR: To Select from dropbox, click arrow at the end of line
Address: 15800 Okeechobee Road
Legal Description:
Property Tax ID #: 32-01-244-0039-0008 Lot No.—
Site Pian Name: Bloch No.
Project Name,
Setbacks Front Back: Right Side: ,„ ^,,..� Left Side:
upgrade equipment at existing cell site
LJ Gas Tank
[]Gas Piping
rcr-
Shutters
Q windows/Doors
HVAC
Electric Q Plumbing
.Sprinklers
Generator
Roof Roof PEch
Total Sq. Ft. of Construction:
Cost of Construction: $ 12000
SQ. ' FFttj of First Floor: —
utilities: l� Sewer 0 Septic
Name Evans Properties lnG
Address. 660 BEACHLAND BLVD STr- 301 ATTN: H. K RIDGEI.Y III
City: Vero Beach Stag: FL
Zip Code: 32963 Fax:
Phone No. (772) 234-2410
E -Mail:
Fill in fee simple Title Holder ori next page (if different
from the Owner listed above)
if value of construction is $2500.or more, a
Name. Daniel Ault
Building Height:
company Olin Myne,Companies, I*
Addiess; 306Q or, rn. e Grove TG
CO: Naples' v State; Fl
Zip Code 34;!20 Fait•
Phone No. 551-922-1244
E -Mail: SFLRermits@crowncastle.com
State or County license:. CGC1522173
of commencement is
SUPPL.SOE1�l�A pN T1 UCTION 1-115191) W.INFO MATT '
Name: — ..,—f'FTn-01,»
Address:.
City: State:
Z1p: Phone:
PEE SIMPLE TITLE HOLDER: — Not Applicable
Name: EVANS PROPERTIES, INC,
Address:
City:
Zip, `. Phone:
MORTGAGE COMPANY; Not Applicable
Name.-
Address:
ame:,Address:
city: Stale:
ZIP: ____.. --�Phone;
SAWYE)ING COMPANY: Not Applicable
Narne:
Address:
City;
Zip: "— ' phone:
I certify that no work or Installation has commenced prior to the Issuance of a permit.
St. Luc a County make�nonYre re�ent�t€an that Is rantfn a e it 111 ut or[ze tl�e errr�ft hold2 to build the suiafeCtstr cture
trustre�Pleasfle cansul� withpyalur Homeve s A55 ClatfDrf aid review Iaur dee t
�rylaws or ancovenants t�iat may r trio or rahl�ilt such
In consideration of thegrantin$ of this requested perrrtlt, l do hereb y d orany restrictions which may a ply.
In attdrdance with the aPprave€i plans, the Florida Building Codes anydaSroe that s I will, I Amendments.allresptserform the work
The following bulld(ng permit gPpfieatlons are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen roams and accessory uses to another non-residential use
WARNING TO OWNER, Your failure to Record a Notice of Commencement may result In your paying ttMlce for
befo]mpravements to your pproperty. A Notice of Commencement must be recorded and yo r P in the Jabsite
re the first Inspectlan. If you intend to obtain financing, consult with fender or an attorney before
EOMN+ ndn vdoric o ordlh our Notice Of ComrnAnr o ---t Y
STATE
TATCOUTY FLORIDA 1 S STATE OF pL
) o U;i` f- COUNTY OF
The forgoing Instru e t w acknowledged before me The f rgoing instrument w acknowledged before me
this. day of f t er 20 laby this, day of , 2q:Qq, by
{Signature of
of
{Name of
Of Notary Pi bilc- State
Personally Known V OR Produced Identification Personally Known 'V ORproduced Identification
Type of Identification Produced Type of Identification Produced
Commisslon No. W.M.ALmmissl
ALEX LEE VANVLAENDEREK
Natary Publsc State of Rostde,
P• !R
COMMisslaft s GG Z45Z73
EV1S£� �7/L'3�2i1> .a+; �° My Comm. Expires Au Z, 1021 �°� WY om ssior: GG 19 4.irr
Bonded through National Nogtary Assn, or �o Exn,res o4iow;4om
REVIEWS FRONT ZONING SUPERVISOR PLANS VEGkTAT1UNEATURTLE MANGROVE
COUNTER REVIEW REVIEW REVIEW REVIEW REVIEW REVIEW
I),4TE
COMPLETE
INITIALS